GRACE HEISE (NPI# 1033720156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033720156 |
| Entity Type | Individual |
| Full Name | GRACE HEISE |
| Credential | DMD |
| Practice Address |
844 6th St Clarkston WA 99403-2013 |
| Mailing Address |
3803 Se 33rd Pl Portland OR 97202-3032 |
| Practice Telephone | 8667298258 |
| Mailing Telephone | 5059990947 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19755040 | ID | Dental Providers |
| Street Address |
844 6TH ST |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780740712 | Scott W Joslin | Dentist | 844 6th St, Clarkston, WA 99403-2013 | 2006-12-27 |
| 1205480688 | Nickole Dawn Corey | Registered Nurse | 844 6th St, Clarkston, WA 99403-2013 | 2019-07-24 |
| 1679139521 | Omar Elhassadi | Dentist | 844 6th St, Clarkston, WA 99403 | 2019-05-16 |
| 1437658309 | Amy Jean Collins | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2018-02-06 |
| 1548773385 | Joseph Farayi Moyosviyi | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2017-11-15 |
| 1487170999 | Mickey Dean Smith | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2017-08-16 |
| 1225580962 | Jesse Grossman | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2016-10-28 |
| 1033595574 | Ahmed H. Muftah El Zawi | Dentist | 844 6th St, Clarkston, WA 99403 | 2015-08-06 |
| 1619373180 | Luna Subedi | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2014-11-11 |
| 1083041719 | Lonnie Druffel | Dental Hygienist | 844 6th St, Clarkston, WA 99403-2013 | 2013-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
| 1740310630 | Gentle Dental | Dentist | 3595 Hill St., Clarkston, GA 30021 | 2007-03-07 |
| 1942331772 | Peach Dental Care | Dentist | 3596 W Hill St # B, Clarkston, GA 30021-1205 | 2007-03-07 |
| 1215083613 | Rasha Safaa Kajy | Dentist | 10435 Ortonville Rd Ste B, Clarkston, MI 48348-1979 | 2007-01-26 |
| 1639234222 | Mary Theresa Bauer | Dentist | 5760 Clarkston Road, Suite A, Clarkston, MI 48348 | 2006-12-26 |
| 1174624746 | Randall William Baetz | Dentist | 7150 Dixie Hwy, Clarkston, MI 48346-2068 | 2006-09-26 |
| 1679672224 | Reid Alan Folsom | Dentist | 1336 5th St, Clarkston, WA 99403-3314 | 2006-09-21 |
| 1881644243 | Thomas G. Santarossa Dds PC | Dentist | 7210 N Main St, Suite 104, Clarkston, MI 48346-1575 | 2006-05-10 |
| 1962471631 | David W. Regiani, Dds, PC | Dentist | 10435 Ortonville Road - Suite B, Clarkston, MI 48348 | 2006-03-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.